Provider Demographics
NPI:1982243929
Name:REICHART, JANET M (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:REICHART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:KITTREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80457-0356
Mailing Address - Country:US
Mailing Address - Phone:720-527-2762
Mailing Address - Fax:
Practice Address - Street 1:2201 KIPLING ST STE 204
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1545
Practice Address - Country:US
Practice Address - Phone:720-520-2762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-21
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099259491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical